Addiction and Substance Abuse

Addictions/Substance Use Disorder Support Groups

PN-8100.0500

Mutual support groups whose members are individuals who have a substance use disorder or any of a number of behavioral addictions which are akin to substance-related disorders in clinical expression, brain origin, comorbidity, physiology and treatment. The groups meet in-person, by telephone or via the Internet; provide emotional support, information and resources to help those who participate modify their behavior; and may include faith-based and secular 12-step groups as well as non-12 step groups.

Central Intake/Assessment for Mental Health Services

RP-5000.1400

Programs that coordinate access to outpatient mental health services and/or psychiatric hospitalization and residential treatment facilities in a community by evaluating the nature and severity of an individual's mental health problem, determining which service response would best meet the needs of the patient, doing an eligibility assessment, and providing a referral to (or facilitating placement in) an appropriate program or facility. Mental health triage services may be located in an emergency department, community mental health service, call center or co-located with other specialized mental health services.

Detoxification

RX-1700

Programs that provide assistance and support for individuals who are physically dependent on substances of any kind during the withdrawal period. Detoxification is a medical regimen aimed at managing acute intoxication and withdrawal by systematically reducing the amount of the addictive substance in a patient’s body, providing reasonable control of active withdrawal symptoms and/or averting a life-threatening medical crisis related to the substance. Detoxification in generally conducted under the supervision of a physician, can take place in a wide variety of settings and at a number of levels of intensity within these settings and has three stages: evaluation, stabilization and fostering patient readiness for and entry into treatment.

Dual Diagnosis

YF-5000.2100

A condition in which individuals have a diagnosed mental illness which interferes with their functioning in a substantial way in combination with a chemical dependency problem which aggravates their ability to become stabilized or recover.

Medication Assisted Maintenance Treatment for Substance Use Disorders

RX-8450.5000

Programs that provide treatment that includes approved medication (e.g., methadone, buprenophine, naltrexone) to support the efforts of individuals with an opioid disorder to abstain from or reduce their use of opioids (usually heroin or painkillers such as oxycondin or morphine). The extended-release, injectable form of naltrexone (Vivitrol), which permits monthly rather than daily dosing, may also be used. The objective of maintenance is to gradually reduce the amount of the substitute drug that is required in order to reduce and, if possible, eventually eliminate dependency altogether. Medication assisted maintenance treatment (MAT) may be provided in an outpatient treatment program (OTP) or OTP unit such as a pharmacy or physician's office, or for buprernorphine products (Bunavail, Suboxone, Subutex, Zubslov), a physician's office or other health care setting. Methadone maintenance treatment is provided in a clinic. It is recommended that medication assisted maintenance treatment be provided in combination with counseling and behavioral therapies.

Perinatal Substance Use Disorder Treatment

RX-8450.6600

Programs that provide comprehensive treatment services on a residential, outpatient or day treatment basis for pregnant women who have a substance use disorder, women who are parenting children, generally age three or younger, and/or women who have babies who were exposed to drugs and/or alcohol during pregnancy. Services may include individual and group counseling, 12-step meetings, social and recreational activities, educational and vocational services, life skills training, primary health care, perinatal health care, HIV testing and counseling, AIDS prevention, a program for family members, relapse prevention services, a continuing care program and a wide array of supportive services such as child care, transportation and parenting skills development. The objective of the program is to help these women restructure their lives so that they can handle their parenting responsibilities as well as remain alcohol and/or drug free.

Residential Substance Use Disorder Treatment Facilities

RX-8450.7000

Community based residential facilities that provide treatment services in the context of a 24-hour, supervised drug and alcohol-free environment for people who have problems related to excessive use of alcohol and/or use of other drugs

Smoking Addiction Support Groups

PN-8100.0500-830

Mutual support groups whose members are individuals who wish to recover from their dependence on nicotine and give up cigarettes, cigars, pipe tobacco, chewing tobacco, snuff or other substances containing nicotine. The groups meet in-person, by telephone or via the Internet; provide emotional support, information and resources to help participants come to terms with their addiction; and may include faith-based and secular 12-step groups as well as non-12 step groups.

Substance Use Disorder Counseling

RX-8450.8000

Programs that provide individual, group or family therapy for individuals who have problems related to the excessive use of alcohol and/or use of other drugs (and/or for their families) to help them better understand the nature of the disorder and support recovery efforts.

Substance Use Disorder Education/Prevention

RX-8250

Programs that provide information about substance use disorders (including the substances most commonly used and their effects, the diagnostic criteria for substance use disorders, screening and diagnostic procedures and methods of treatment) and/or which offer any of a variety of services that focus on substance use prevention for people of all ages who are at risk. Included may be printed materials or videos that address the subject; psycho-educational and skill building activities; structured groups which focus on family dynamics, problem-solving, self-esteem and similar issues; and presentations in schools and agencies and to family groups regarding the dangers of alcohol and drug use and smoking, the signs of substance use disorders, the legal consequences of illegal substance use and how to get help.

Transitional Residential Substance Use Disorder Services

RX-8500

Programs that provide alcohol and other drug-free congregate living arrangements which facilitate the return to the community of individuals who are recovering from an alcohol and/or other drug use disorder, who may be leaving an inpatient or residential treatment program and who need ongoing support to sustain an abstinent lifestyle.